Activity: What did you do as a volunteer? For which program?Contact Hours: Time spent on volunteer activityPrep Hours: Time spent preparing for volunteer activityMiles: Miles traveled to and from volunteer site

Volunteer Name

Month

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Year

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1 - Date

Activity

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Contact Hrs

Prep Hrs

Miles

2 - Date

Activity

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Prep Hrs

Miles

3 - Date

Activity

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Prep Hrs

Miles

4 - Date

Activity

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Prep Hrs

Miles

5 - Date

Activity

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Contact Hrs

Prep Hrs

Miles

6 - Date

Activity

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Contact Hrs

Prep Hrs

Miles

7 - Date

Activity

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Prep Hrs

Miles

8 - Date

Activity

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Prep Hrs

Miles

9 - Date

Activity

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Prep Hrs

Miles

10 - Date

Activity

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Contact Hrs

Prep Hrs

Miles

Comments

By Checking the box, I certify that the submitted hours and milage are correct.

Program Partners

RVR's programs and services would not be possible without the support of our program partners.